Hysterectomy and myomectomy surgeries are the most recommended open surgery procedures for the treatment of fibroids; an extremely common condition that affects many women on a daily basis. However, there are a number of differences between hysterectomies and myomectomies. Before we go into these, it’s important to understand what fibroids are and why they require treatment.

What are Fibroids?

Uterine Fibroids, also sometimes known as leiomyomas or uterine myomas, are benign growths that develop in and around the area of the uterus. There are various types of fibroids, although the most common form is intramural fibroids, which appear in the uterus’ muscle wall and can cause several painful and problematic symptoms, such as painful or heavy periods. Larger intramural fibroids can occasionally also stretch to the womb. Other types of fibroids include ovarian fibroids, subserosal fibroids (outside of the uterus) pedunculated fibroids (when the subserosal fibroid develops a stem to support the tumour) and submucosal fibroids (these are less common and develop in the middle muscle layer of the uterus). 

In addition to heavy periods, other symptoms can include:

  • Stomach and back pain
  • Constipation
  • Regular urination

There are various other symptoms that women may experience, although these are the most common. In more serious cases there can be further complications caused by uterine fibroids, which may intervene with pregnancy or cause infertility, although these are rare.

Uterine fibroids can be detected via a pelvic examination by our expert gynaecologists, who may instruct an ultrasound, lab tests, or further imaging tests in order to make an official diagnosis.

Once a fibroids diagnosis is made, your private gynaecologist will then evaluate the best method for removing the unwanted growths from the uterus. As a specialist laparoscopic surgeon and head gynaecologist, Mr Mohammed Masood will usually perform less invasive treatments at MAS Gynaecology in the first instance. However, if these procedures fail to solve the issue, he will then recommend either a hysterectomy or a myomectomy to solve your fibroid issue.

What is a Myomectomy?

A myomectomy involves uterine fibroid removal through a surgical procedure in order to eliminate uncomfortable symptoms caused by the benign growths. This can also be conducted if the fibroids are suspected to be affecting your fertility and need to be removed as soon as possible.

If a woman still wishes to have children then a myomectomy procedure is recommended as the more suitable operation to remove fibroids, as the alternative, a full hysterectomy, completely removes all chances of pregnancy.

A myomectomy has a very low-risk rate, although any surgical procedure has complications. For example, a myomectomy operation may cause excessive loss of blood and scar tissue. There is a slight chance of difficulties occurring if you are pregnant during the procedure. In rare instances, a hysterectomy may have to be performed if other abnormalities are found.

What is a Hysterectomy?

A hysterectomy is usually the last resort for treating uterine fibroids or any other non-cancerous gynaecological issues, as once the uterus and cervix are completely removed, the chances of conception are non-existent.

Essentially, a hysterectomy involves removing the womb via invasive surgery. However, there are various hysterectomy types ranging in levels of extremity, depending on the severity of the patient’s diagnosis and symptoms. In some cases, a partial hysterectomy may be performed, where only part of the uterus is removed, rather than the entire uterus and cervix. In more serious situations, such as the treatment of cancer, a radical hysterectomy may be required. This involves the removal of the uterus, ovaries, fallopian tubes and even the upper part of the vagina, in addition associated pelvic ligaments and lymph nodes. However, as fibroids are non-cancerous, a simpler procedure is normally required.

Generally speaking, a hysterectomy  is usually recommended to women over the age of 35, as this is the average age of women who have had their children and wish to bear no more. Our gynaecologists do not advise a hysterectomy for younger women unless it is completely necessary. By having surgery early in life, women may face health issues such as heart problems or metabolic conditions.

If you have tried all other alternatives to remove your painful fibroids, then a hysterectomy is the perfect solution for you. It is currently the only permanent solution for removing uterine fibroids.

Book a Consultation

If you are struggling with painful periods, abdominal issues or any other symptoms associated with uterine fibroids you should consult with one of our professional gynaecologists to discuss your options.

Mr Mohammed Masood offers a private and professional service for all clients who are looking to remove their uterine fibroids or any other issues. They provide advice on smaller procedures and will evaluate whether a hysterectomy or myomectomy is the right step to take.

MAS Gynaecology offers fibroids treatment across London and Essex. Our professional team will ensure that all your needs are met from the consultation up until recovery. For further information on our gynaecological services, please contact us on 0782 597 0530 and discuss your medical options with one of our expert team members. You can also get in touch via email at fscott@masgynaecology.com.

There are many different reasons why a woman would book an appointment to see a gynaecologist like our team at MAS Gynaecology.

Our consultant gynaecologist Mohammad Masood has more than 25 years of experience in the field of gynaecology and he ensures all the women who visit his practice come into a calming, relaxed environment. This helps to allay any initial nerves that many women suffer when seeing a gynaecologist, particularly if it is the first time they have done so.

Mr Masood is a specialist minimal access surgeon. Through the keyhole procedures he performs, you are only left with very small, minimal scarring and the delicacy that his expertise provides allows for a quick recovery from surgeries which normally have lengthy recovery times such Hysterectomies and Myomectomies.

What is a gynaecologist?

Gynaecology covers numerous areas related to the well-being of the female reproductive organs. A gynaecologist, therefore, is a surgeon or doctor who specialises in that field.

Problems with a women’s health or well-being can be a sensitive issue which requires emotional understanding and complete discretion, something which is an integral part of the services offered at MAS. As well as the range of treatments that we provide, our professional team include advice and counselling as part of their services.

Reasons to see a gynaecologist

Why a woman would choose to visit our General Gynaecology Clinic will vary from woman to woman, although usually it is because of one of the following reasons:

• You are suffering from period pain
• You have been having particularly heavy periods, periods which have been longer than a week or are generally infrequent
• You have missed your period
• You are suffering from vaginal itching, swelling or unusual discharge or odours
• You have problems related to urinating such as urinary incontinence
• You have suffered a pelvic injury
• You think you could have sexually transmitted infection

Some women choose to see a special gynaecologist for common consultations, after all through regular visits seeing a gynaecologist will massively contribute to being the healthiest possible woman you can be. Discussions regarding contraception options are also available at MAS, while you can book in for a smear test or for miscarriage counselling and treatments.

Booking an appointment with MAS Gynaecologist kept me well and healthy!

MAS Gynaecology Services

Here at MAS as well as the treatments and consultations offered at our General Gynaecology Clinic, we also offer a number of specialist gynaecology treatments. Each service is provided with absolute professionalism and sensitivity. Below see a list of our gynaecology services:

Endometriosis Treatment

Endometriosis is where tissue normally found in the womb grows in other areas of the body which is normally painful and very uncomfortable to experience. Our treatments can provide pain relief, slow the production of the endometriosis tissue and they can also improve your fertility.

Fibroids Treatment

We offer a range of treatments to combat fibroids as each case of fibroids is unlike another. A fibroid is a non-cancerous polyp that grows in different areas of womb. They can lead to back or abdominal pain and also lead to heavy or painful periods.

Heavy Period Treatment

Non-surgical measures and the administration of medication are commonly used to treat heavy periods when you book an appointment with a gynaecologist. Heavy periods are when a woman bleeds a lot more than they usually do during their period.

Menopause Treatment

HRT, or Hormone Replacement Therapy as it is also known, is used to combat symptoms of the menopause. This is usually administered through creams, tablets, gels and skin patches though some women opt for an implant which will gradually release the HRT into their body over time.

Hysterectomy and Myomectomy Treatment

At MAS as a specialist gynaecologist, we provide both Hysterectomies and Myomectomies. A Hysterectomy removes the womb and is carried out to treat fibroids, heavy periods or cancer, while a Myomectomy is a procedure where uterine growths are removed to improve conception chances and to provide pain and discomfort relief.

Painful Periods Treatment

Our treatments can alleviate period pain which may or may not be caused by a medical condition such as endometriosis, fibroids or adenomyosis. when the womb lining breaks through to the womb wall.

Urinary Incontinence Treatment

This is when you leak or pass urine without intending to. Something that affects many, many people, our urinary incontinence treatments are considered revolutionary when it comes to helping people who suffer from the condition.

Cosmetic Gynaecology

Women may also visit a gynaecologist to receive cosmetic gynaecology. Mr Masood specialises in a variety of cosmetic procedures such as vaginoplasty, labiaplasty and clitoral hoodectomy.

See a Gynaecologist with MAS Gynaecology – contact us

Why use HRT is a common question we get asked and the answer is not always straight forward. Menopause is sadly inevitable as we age, due to the natural reduction in the production of female sex hormones such as oestrogen. Most of us are (un)lucky enough to only begin feeling the symptoms of menopause as we head into our late 40’s and 50’s but early onset menopause can affect women in their 30’s, often caused by damage to the ovaries, through surgery such as a hysterectomy or underlying medical conditions. Menopausal symptoms can be quite debilitating, ranging from hot flashes, disrupted sleep, mood swings, loss of sex drive and memory lapses, all just adding to the daily stresses we face.

And so, we search for a way to relieve the symptoms of menopause and allow us to live as normal a life as possible. One such treatment that has seen fantastic results for thousands of women across the globe is HRT, also known as Hormone Replacement Therapy.

Request a call back from our expert gynaecology team to discuss our HRT and menopause treatments.

What is HRT?

Hormone Replacement Therapy is the treatment for a number of conditions, but most commonly and effectively, menopause. It works by replacing hormones that the body has reduced production of or no longer produces, due to natural or medical reasons. HRT generally comes in three forms, oestrogen-only therapy (ET) and oestrogen plus progestogen therapy (EPT), both of these use artificially engineered hormones to augment the body’s natural hormones. The third form of HRT is which is becoming more wildly used is, bioidentical hormone replacement therapy (BHRT), which uses natural, chemically identical hormones to that produced by the body to reduce symptoms of menopause.

Why use HRT TO Treat menopause?

The question you may be considering is why use HRT to treat menopause symptoms? During the onset of menopause be it natural or surgical-induced, levels of oestrogen fall dramatically, causing menopause symptoms such as hot flashes, low sex drive, disturbed sleep and memory lapses. HRT or hormone replacement therapy has shown through numerous studies, to be one of the most effective treatments for menopause, offering a wide variety of benefits from reducing and combatting menopausal symptoms to protecting against other medical conditions such as osteoporosis and heart disease.

Many women have said that after having HRT, that they are delighted to have been given their lives back!

How does IT work?

All three basic forms of hormone replacement therapy work in the same way to replace the hormones no longer produced by the body, and easing the symptoms of menopause.

ET or oestrogen-only therapy replaces oestrogen which is the main hormone that helps combat symptoms of menopause and is used as a treatment plan for those who have surgically onset menopause caused by a hysterectomy.

EPT or oestrogen plus progestogen therapy is used for those women suffering from menopausal symptoms caused by the natural ageing process, as the ovaries which produce both hormones significantly decreases its production. EPT is used for those who experience menopause naturally as oestrogen alone can increase the risk of uterine cancer for those women with a uterus.

BHRT or Bioidentical Hormone Replacement Therapy, provides the same treatment as both ET and EPT but as mentioned earlier utilises natural, chemically identical hormones to that produced by the body.

Here at MAS Gynaecology our expert gynaecologist Mr Mohammad Masood is always on hand to delicately discuss your concerns or answer any questions you may have about your health and the services we provide, including Hormone Replacement Therapy for the treatment of menopause.

Many people worry about visiting health specialists for various reasons, but one of the most feared is the gynaecologist. It’s understandable, as the majority of cultures consider showing what we deem our “private parts” to a stranger totally wrong and very exposing – plus, visits to a gynaecologist are usually for reasons connected to major life-affecting factors, be it fertility or the fundamental health of our bodies.

The team at MAS Gynaecology have heard every reason, and we’re here to explain why there’s nothing to fear in a trip to the gynaecologist, and how it’s actually one of the best things you can do for your own health and wellbeing.

I used to be terrified of seeing my gynaecologist – but the team at MAS helped me overcome my fear of the gynaecologist! It feels great to know that I’m safe and healthy

It is vital for your future health

Whether you have questions about your fertility as you plan a pregnancy, you have concerns about your personal health, or you’re just attending for your regular smear, your future may depend on a visit to the gynaecologist. Putting off a visit may delay – or even prevent – successful conception, as specialists will be able to give you valuable advice. In extreme cases, skipping your smear may have very serious results.

You can always change YOUR GYNAECOLOGIST

If the reason you’re worried is because you’ve had problems during a gynaecological exam before, think about what they were. Did your smear test hurt? This should never be the case, aside from the smallest of twinges. Did you feel you’d prefer a doctor with a different attitude? That shouldn’t put you off such an important appointment. If your problem is with your gynaecologist as an individual, you should consider looking around for somewhere new that will better suit your needs and put you at ease.

If there’s something wrong, you need to know

One excuse for failing to visit the gynaecologist – particularly for a smear – is fear of the unknown. If you’re worried about issues such as cervical cancer, it can be very easy to bury your head in the sand and stop thinking about it. However, if there is an abnormality that you don’t know about, catching it too late is a very real risk that will certainly see you regretting skipping that appointment.

You should always be able to feel relaxed and confident about attending your gynaecologist. At MAS Gynaecology, we are committed care, compassion and an extremely high quality of service. If you’re interested in discussing your needs and concerns with a member of our team, simply get in touch using the confidential contact form on our website today, and we’ll be more than happy to help you.